Adult Lower Extremity Reconstruction Unit, Mount Sinai Hospital, Gluskin Granovsky Division of Orthopaedics, University of Toronto, 600 University Avenue, #476D, Toronto, Ontario M5G 1X5, Canada.
Adult Lower Extremity Reconstruction Unit, Mount Sinai Hospital, Gluskin Granovsky Division of Orthopaedics, University of Toronto, 600 University Avenue, #476D, Toronto, Ontario M5G 1X5, Canada.
Orthop Clin North Am. 2022 Apr;53(2):123-127. doi: 10.1016/j.ocl.2021.11.002. Epub 2022 Mar 5.
Nerve injury is one of the potential complications of total knee arthroplasty. The extent of the injury includes motor and sensory dysfunction, either temporary or permanent. Although the consequences of nerve injury may be dramatic, the probability of occurrence during the course of primary knee arthroplasty is low, around 0.12% to 0.4%. Local dressing removal and knee flexion are imperative, and the initial investigations include ultrasound or MRI and nerve conduction studies. The extent of recovery depends on the type and severity of the initial nerve palsy; however, most patients are expected to have at least a partial recovery.
神经损伤是全膝关节置换术的潜在并发症之一。损伤的程度包括运动和感觉功能障碍,可能是暂时的,也可能是永久性的。尽管神经损伤的后果可能很严重,但在初次膝关节置换术中发生的概率较低,约为 0.12%至 0.4%。局部敷料去除和膝关节弯曲至关重要,初始检查包括超声或 MRI 和神经传导研究。恢复的程度取决于初始神经麻痹的类型和严重程度;然而,大多数患者有望至少部分恢复。